| NPI | 1639336589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN J KEYS Owner 516-524-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334247) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-06-13 |